Individual
BRIAN J. CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
452 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-2957
(614) 688-3700
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-2957
(614) 688-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35096903
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35.096903CTR
OH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
35096903
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35.096903CTR
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
35096903CTR
OH
Other
Enumeration date
08/21/2009
Last updated
04/24/2026
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